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Jerry Williams, BMS

Counselor in Espanola, NM. Individual provider (NPI-1).

NPI number1326398249
StatusActive
Last updated in NPPESJun 24, 2015

Details

NPI
1326398249
Entity type
Individual (NPI-1)
Name
Jerry Williams
Credential
BMS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 18, 2012
Last updated
Jun 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1302 Calle De La Merced
Espanola, NM 87532-2624

Phone 505-747-0081

Mailing address

2551 Coors Blvd Nw
Albuquerque, NM 87120-1213

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